| Mario Bautista, | |
|
13325 Guy R Brewer Blvd, Jamaica, NY 11434-2941 | |
| (718) 276-2508 | |
| Not Available |
| Full Name | Mario Bautista |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 13325 Guy R Brewer Blvd, Jamaica, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851749725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 097096-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mario Bautista, 26 W Seaman Ave, Freeport, NY 11520-1547 Ph: () - | Mario Bautista, 13325 Guy R Brewer Blvd, Jamaica, NY 11434-2941 Ph: (718) 276-2508 |
Jin Hyun Park, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9009 Van Wyck Expy, Jamaica, NY 11435 Phone: 718-206-5575 | |
Andrew David Stein, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9027 Sutphin Blvd, 5th Floor, Jamaica, NY 11435 Phone: 718-526-8400 | |
Diane Therese Levy, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 718-883-3225 Fax: 718-883-6193 | |
Mr. Eugene Donald Shea, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 14732 Jamaica Ave, Jamaica, NY 11435 Phone: 718-526-8400 | |
Karime Molina, LCSW, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 718-883-3575 | |
Marjorie Demadet, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 718-883-3225 Fax: 718-883-6193 | |
Sandra Monique Jordan, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 718-883-2244 |